Individual
DR. CHARLIE SPELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6223 MOUNT MORIAH ROAD EXT, MEMPHIS, TN 38115-2741
(901) 794-3391
(901) 794-9706
Mailing address
6223 MOUNT MORIAH ROAD EXT, MEMPHIS, TN 38115-2741
(901) 794-3391
(901) 794-9706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS6919
TN
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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